DENTAL SERVICES OF KENTUCKY, PSC (NPI# 1639562473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639562473 |
| Entity Type | Organization |
| Organization Name | DENTAL SERVICES OF KENTUCKY, PSC |
| Other Organization Name | IMMEDIADENT |
| Practice Address |
4814 Outer Loop Louisville KY 40219-3302 |
| Mailing Address |
Po Box 11568 Overland Park KS 66207-4268 |
| Practice Telephone | 5024736974 |
| Practice Fax Number | 8665910604 |
| Mailing Telephone | 9134281686 |
| Mailing Fax Number | 8665910604 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | MONICA L LONG (MANAGER OF PROVIDER CREDENTIALING) |
| Authorized Official Telephone | 9134281686 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL SERVICES OF KENTUCKY, PSC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 71002245080 | 05 |
| Other Name | Type Code |
|---|---|
| Immediadent | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194238816 | Dental Services of Kentucky, Psc | Dentist | 2011 Grinstead Dr Unit 102, Louisville, KY 40204-1296 | 2017-11-16 |
| 1376921098 | Dental Services of Kentucky, Psc | Dentist | 3946 Taylorsville Rd., Louisville, KY 40220 | 2015-05-14 |
| 1255585758 | Dental Services of Kentucky, Psc | Dentist | 4960 Houston Rd, Ste G, Florence, KY 41042-5132 | 2008-11-11 |
| 1164672283 | Dental Services of Kentucky, Psc | Dentist | 3101 Richmond Rd., Suite 307, Lexington, KY 40509-9770 | 2008-09-25 |
| 1821248162 | Dental Services of Kentucky, Psc | Clinic/Center | 2358 Nicholasville Rd, #156, Lexington, KY 40503-3032 | 2008-09-23 |
| 1295248912 | Dental Services of Kentucky, Psc | Dentist | 70 Carothers Rd, Newport, KY 41071-2416 | 2017-11-16 |
| 1023544236 | Dental Services of Kentucky, Psc | Dentist | 4420 Dixie Hwy Ste 110, Shively, KY 40216 | 2017-05-08 |
| 1982097721 | Dental Services of Kentucky, Psc | Dentist | 4420 Dixie Highway, Suite 110, Louisville, KY 40216-2986 | 2015-03-17 |
| Street Address |
4814 OUTER LOOP |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40219-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992861801 | James Steven Zeh | Dentist | 4814 Outer Loop, Louisville, KY 40219 | 2006-12-28 |
| 1598327371 | Alicia Maria Tenrrero-villalon | Dentist | 4814 Outer Loop, Louisville, KY 40219-3302 | 2019-07-02 |
| 1801203195 | Evan Zeh | Dentist | 4814 Outer Loop, Louisville, KY 40219 | 2014-07-18 |
| 1992116503 | Branham Hill | Dentist | 4814 Outer Loop, Louisville, KY 40219-3302 | 2014-05-16 |
| 1346411154 | J. Steven Zeh, Dmd, Ms, Psc | Dentist | 4814 Outer Loop, Louisville, KY 40219-3302 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1174165989 | Joann Deborah Hobbs | Nurse Practitioner | 8216 Delido Rd, Louisville, KY 40219 | 2019-10-14 |
| 1962989319 | Jennifer Lynn Pinkerton | Hearing Instrument Specialist | 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 | 2018-07-27 |
| 1942748447 | Melissa Freeman Emanuele | Speech-Language Pathologist | 1550 Raydale Drive, Lousville, KY 40219 | 2017-02-03 |
| 1083014013 | Christopher Maxey | Specialist/Technologist | Fern Valley Rd, Louisville, KY 40219 | 2014-08-27 |
| 1679985949 | Antwan Turner | Case Manager/Care Coordinator | 5523 Saxon Blvd, Louisville, KY 40219 | 2014-05-21 |
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1881967701 | Vickie Lynn Dixon | Homemaker | 3516 Templewood Dr., Louisville, KY 40219 | 2012-02-23 |
| 1811157555 | Tonya Lynn Frost | Chiropractor | 4300 Outer Loop Ste 10, Louisville, KY 40219 | 2008-06-16 |
| Find all providers in zip 40219 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869878 | Miram Shaheen | Dentist | 600 Marshall St Unit 128, Louisville, KY 40202-3618 | 2020-10-19 |
| 1396351243 | Haaken Reed Magnuson | Dentist | 4600 Taylorsville Rd, Louisville, KY 40220-3530 | 2020-09-16 |
| 1629687181 | Joanna Higdon | Dentist | 4122 Shelbyville Rd Ste 103, Louisville, KY 40207-3206 | 2020-07-30 |
| 1386253847 | Hannah Pope | Dentist | 6801 Dixie Hwy Ste 128, Louisville, KY 40258-3940 | 2020-07-29 |
| 1801404256 | William Jacob Brown | Dentist | 335 W South Boulder Rd Ste 4, Louisville, CO 80027-1192 | 2020-07-21 |
| 1144838764 | My Smile Dental Services, Pllc | Dentist | 5014b Preston Hwy, Louisville, KY 40213-2217 | 2020-07-20 |
| 1164068722 | Kentucky On-site Dental Services LLC | Dentist | 307 Longview Park Pl, Louisville, KY 40245-6217 | 2019-11-19 |
| 1700448875 | Elizabeth Anne Riordan | Dentist | 701 Sunnyside Dr, Louisville, KY 40206-2922 | 2019-06-28 |
| 1669031381 | Adam Jatin Parikh | Dentist | 2400 Mellwood Ave Apt 927, Louisville, KY 40206-1066 | 2019-06-06 |
| 1689232175 | Paige Higdon Cogan | Dentist | 1009 Alta Vista Rd, Louisville, KY 40205-1727 | 2019-05-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40219 |
Please comment or provide details below to improve the information on DENTAL SERVICES OF KENTUCKY, PSC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.